Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This was informed by several exam prep programs, and can be used like flashcards or as a presentation.

1. Review of DSM5 Mental Disorders for NCMHCE Study

2. 1. Avoidant Personality Disorder
2. Dependent Personality Disorder
3. Obsessive-Compulsive Personality
Disorder
 Known as
Anxious
type

3.  Pervasive patterns of thinking, moods and actions
 Relative to self perception, distressing or exciting
circumstances, personal impulses and urges, other
people
 Begun in youth, consistent and inflexible in many
personal and social situations and stable over time
 Causes problems

4. S2. Assess
Testing
 Personality Disorders
Questionnaire- 4
 MCMI3 (Millon)
 MMPI
 CATI (Coolidge )
 Dimensional
Assessment of
Personality Pathology—
Basic Questionnaire
 Structured Clinical
Interview
 International Personality
Disorder Examination
 NEO Five-Factor Inventory
 Thematic Apperception
Test
 Global Assessment of
Functioning scale
 Adult Attachment
Interview

5. S4.Treatment
Therapy
 PsychodynamicTherapy
 CBT
 CBT SchemaTherapy
 DBT
 MindfulnessTherapy
 Mentalization FocusedTherapy

7. Diagnosis I
Key:
 Social inhibition
 Feelings of inadequacy
 Extreme sensitivity to negative evaluation
 Avoidance of social interaction

8. Diagnosis II
Requires at least four:
1. Avoids occupational activities
that involve significant social
contact, due to fears of
disapproval or rejection
2. Unwilling to deal with people
unless sure of being liked
3. Restraint within intimate
relationships due to fear of
being shamed or ridiculed
4. Preoccupied with being
criticized or rejected in social
situations
5. Inhibited in new social
situations because of feelings
of inadequacy
6.Views themselves as socially
inept, personally unappealing,
or inferior to others
7. Unusually reluctant to take
risks or to engage in new
activities because they may
prove embarrassing

9. Diagnosis III
Co-occurring:
 Panic Disorder with
Agoraphobia
 Social Anxiety Disorder
 Generalized Anxiety
Disorder
 Obsessive Compulsive
Disorder
Rule out:
 Social Anxiety Disorder:
Monitors the other’s
reactions, not just self
 Dependent Personality
Disorder
 Paranoid, Schizoid and
Schizotypal Personality
Disorders

10. S1. Find Out S2. Assess & Refer
 MCMI3 (Millon)
 MMPI
 Structured Clinical
Interview

11. S4.Treatments
Very challenging since clients
fear therapist will dislike them
 Highly non-critical, non-
judgmental stance
 Simple supportive client
centered approach
Psychotherapy
 Psychodynamic
Therapy
 CBT Schema
 Social SkillsTraining
 ExposureTherapy
 CognitiveTherapy
 Group therapy
Medications
 Antidepressants

12. S5. Monitoring
 Improved social functioning
S6.Termination

14. Diagnosis I
Key:
 Excessive and pervasive need to be taken care of
 Submissive
 Clinging, needy behavior due to fear of abandonment
Appears in adolescence and young adulthood

15. Diagnosis II
Requires at least five:
1. Needs excessive
reassurance and
advice to make
everyday decisions
2. Needs others to take
responsibility for
areas of their lives
3. Difficult to disagree
with others out of
fear of disapproval
4. Difficult to initiate projects or do
things on their own
5. Excessively seeks nurturance and
support from others, even by offering
to do unpleasant things
6. Feels stressed or helpless when alone
due to exaggerated fears of being
unable to care for themselves
7. Urgently seeks another source of
care when a close relationship ends
8. Preoccupied with fears of being left
to take care of himself or herself

16. S1. Diagnosis 3
Co-occurring:
 Domestic and other
kinds of abuse
 Substance abuse
 Depression and dysphoria
Rule out:
 Borderline Personality
Disorder
 Histrionic Personality
Disorder

17. S1. Find Out S2. Assess & Refer
 MCMI3 (Millon)
 MMPI
 Structured Clinical
Interview

18. S4.Treatments
 Important to build initial
rapport or clients leave
 Non-critical, non-
judgemental stance
Possible treatments:
 PsychodynamicTherapy
 CBT Schema
 Brief, Solution Based
Therapy
Medications
 Depression

19. S5. Monitoring
 Improved autonomy
6.Termination

21. S1. Diagnosis 1
Key:
 Preoccupation with
orderliness,
perfectionism, details,
mental and social
control, and power
over one's
environment
 At the expense of
flexibility, openness,
and efficiency
Requires at least 4:
Preoccupied with details, rules, lists, order,
organization, or schedules to the extent that the major
point of the activity is lost shows perfectionism that
interferes with task completion (e.g., is unable to
complete a project because his or her own overly strict
standards are not met) is excessively devoted to work
and productivity to the exclusion of leisure activities
and friendships (not accounted for by obvious economic
necessity) is overconscientious, scrupulous, and
inflexible about matters of morality, ethics, or values
(not accounted for by cultural or religious identification)
is unable to discard worn-out or worthless objects even
when they have no sentimental value is reluctant to
delegate tasks or to work with others unless they
submit to exactly his or her way of doing things adopts
a miserly spending style toward both self and others;
money is viewed as something to be hoarded for future
catastrophes shows rigidity and stubbornness

22. S1. Diagnosis 2
Requires at least 4:
1. Preoccupied with details, such
that the point of the activity is
lost
2. Perfectionism that interferes
with task completion
3.Too devoted to productivity to
the exclusion of friends and
leisure activities
4. Inflexible about morality,
(apart from religion)
5. Unable to discard worth-less
objects even with no
sentimental value
6. Reluctant to delegate tasks or
to work with others unless
they submit to their way of
doing things
7. Miserly; money hoarded for
future crisis
8. Rigid and stubborn

23. S1. Diagnosis II
Co-occurring:
 OCD
 Autism Spectrum
 Eating disorders
Rule out:
 OCD: Personality disorder
sees traits as rational, not
distressed

24. S1. Find Out S2. Assess & Refer
 DysfunctionalThought
Record
 MCMI3 (Millon)
 MMPI
 Structured Clinical
Interview

25. S4.Treatments to Use
 Very challenging since
clients deny symptoms
and avoid confronting
their irrational beliefs
 Non-critical, non-
judgemental stance is
essential
Therapy
 Psychodynamic
best
 CBT
 Cognitive
AnalyticTherapy
Medications
 Antidepressants
(SSRIs)

26. S5. Monitoring Progress
 Improved flexibility
S6.Termination